| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.40 | $64.11 | $112.14 | |
CareFirst
| Professional | $31.88 | $31.88 | $53.35 | |
Cigna
| Professional | $27.58 | $65.16 | $118.68 | |
Kaiser Permanente
| Professional | $84.19 | $97.48 | $144.07 | |
United
| Professional | $51.53 | $72.04 | $134.02 | |
Wellpoint
| Professional | $35.51 | $35.99 | $96.05 |